Just finished the show in NC. Alexi's playing was actually fantastic compared to the times when I saw them in 13 and 16. You could tell he was struggling with vocals, though. Lines would very often either become clean/spoken at the end, or he just wouldn't finish verses/choruses at all.
Setlist was 13 or 14 long.
Got to see Alexi up close and talk to him briefly. He doesn't look malnourished aside from his actual fat/muscle mass. Hair still looking healthy, no hair falling out, eyes not particular sunken, etc.